Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Why aren’t more pediatricians leaning into rural health?

Mick Connors, MD
Policy
October 12, 2023
Share
Tweet
Share

Rural health for children is in trouble. Don’t take my word for it, just ask the CDC.

“The Centers for Disease Control and Prevention (CDC) has just offered further evidence that American children — and rural children in particular — are in trouble. Previously, the CDC had noted that poor U.S. children 2 to 8 years of age have higher rates of parent-reported mental, behavioral, and developmental disorders (MBDDs) than their wealthier counterparts. Now, in the latest of a series of reports, the agency documents the finding that rural children from small communities are more likely to have MBDDs than those living in cities and suburbs.”

And just take a look at these maps highlighting the vast deserts for children in rural America.

Pediatricians per 100,000. American Board of Pediatrics map link.

Health care shortage areas by county. Shortage area map link.

Over the past half-year, I’ve been engrossed in understanding the challenges faced by children relying on Medicaid and the persisting disparities in their health care. As a pediatric emergency physician, it’s a constant reminder of the difficulties these children encounter in accessing both standard pediatric care and, even more critically, specialized care. The unfortunate reality is that sick visits for Medicaid patients often find their way to the emergency department. When it comes to mental health, the situation is even more dire, with visits typically happening only in the aftermath of a significant crisis. There’s well-documented evidence of the disparity in early screening and the detection of developmental disorders within this population as well.

Here are five compelling reasons why pediatricians should be actively engaging with this critical problem:

1. The scale of the issue. This is an immense problem that demands attention. As advocates for equity in pediatric care, we must question why the most vulnerable children are left without access to a pediatrician. The stark reality of health care deserts is laid bare by the above maps, underscoring the urgent need for intervention.

2. Beyond urban centers. Why do our trainees shy away from or feel unequipped to serve beyond urban strongholds? Creating an environment where pediatricians feel supported and at ease in rural areas is vital for effectively addressing this issue.

3. Comfort and connection. How can we enhance the comfort, connection, and support for pediatricians working in rural regions? Building an environment where they feel empowered and well-supported could significantly improve access to care.

4. Collaboration with family practitioners. Collaboration between rural pediatricians and their counterparts in family practice is crucial. Recognizing that the challenge cannot be solved by any single entity, mutual support becomes an imperative.

5. Harnessing nurse practitioners. Exploring the expanded role of nurse practitioners could dramatically extend the reach of pediatric care into underserved areas. Their involvement can be a transformative step toward addressing this issue.

These are fundamental questions that demand thorough discussion. It’s disheartening that these topics often don’t receive the attention they deserve. Addressing these challenges requires a unified effort from the entire medical community.

ADVERTISEMENT

Now, speaking of rural areas, let’s delve into a lesser-known fact: the rural health clinic model. Though specifics vary from state to state, it’s designed to ensure robust payment for services rendered. Pediatricians can anticipate an “all-inclusive rate” that bolsters the state Medicaid rate with federal funds and often aligns payment with that of our adult counterparts. It’s a rare scenario where a $150 payment from Medicaid for a well visit isn’t out of the question – a reality in rural health for pediatrics.

But wait, there’s more! In many states, mental health visits are often covered at the same rate. Imagine seamlessly integrating mental health services into your practice and receiving compensation for this critical service. No need to divide the visit fee with the LCSW – you can actually bill for both their visit and the medical consultation, even on the same day and within the same encounter. The prospect of delivering holistic care to those who need it most is truly remarkable.

Moreover, rural health clinics are mandated to include nurse practitioners in their care teams. This presents an incredible opportunity for pediatricians to extend their reach by providing oversight and building teams necessary for incorporating nurse practitioners into primary care. Embracing a team-based mindset is essential to meet the demands, and rural health can pioneer this innovative approach.

And don’t overlook telehealth – it’s often part of the rural health clinic package, paid at parity. Imagine utilizing and being compensated for telehealth visits, ensuring your patients access your care without the need to rush to an emergency department. You can offer follow-up visits for behavioral health concerns and acute appointments for illnesses, all at parity. Consider expanding your presence in these health care deserts to local school districts and daycares to better serve your patients’ needs.

The path forward is ripe with potential, and these transformative opportunities are ready to be seized. I would strongly suggest you explore experts from The National Rural Health Association, The Compliance Team, and folks with decades of experience like Kate Hill RN and Mark Lynn, who can guide you to resources within your state.

Mick Connors is a pediatric emergency physician.

Prev

How writing can elevate your health care career [PODCAST]

October 11, 2023 Kevin 0
…
Next

ChatGPT: Charting the future of health care with visionary AI

October 12, 2023 Kevin 0
…

Tagged as: Emergency Medicine, Pediatrics

Post navigation

< Previous Post
How writing can elevate your health care career [PODCAST]
Next Post >
ChatGPT: Charting the future of health care with visionary AI

ADVERTISEMENT

More by Mick Connors, MD

  • Why Medicaid is failing Black children despite record spending

    Mick Connors, MD
  • Why chasing validation is destroying physicians’ sense of self

    Mick Connors, MD
  • Why physicians can’t let go of the golden RVU ring

    Mick Connors, MD

Related Posts

  • Are negative news cycles and social media injurious to our health?

    Rabia Jalal, MD
  • Why states need to develop rural health outreach programs

    Ashok A. Jagasia, MD, PhD
  • How social media can help or hurt your health care career

    Health eCareers
  • Sharing mental health issues on social media

    Tarena Lofton
  • Doctors trained abroad will save rural health care

    G. Richard Olds, MD
  • The rural health care crisis and medical education

    Nick Richwagen, Evan Chen, and Jacob Riegler

More in Policy

  • Online eye exams spark legal battle over health care access

    Joshua Windham, JD and Daryl James
  • The One Big Beautiful Bill and the fragile heart of rural health care

    Holland Haynie, MD
  • Why health care leaders fail at execution—and how to fix it

    Dave Cummings, RN
  • Healing the doctor-patient relationship by attacking administrative inefficiencies

    Allen Fredrickson
  • The hidden health risks in the One Big Beautiful Bill Act

    Trevor Lyford, MPH
  • The CDC’s restructuring: Where is the voice of health care in the room?

    Tarek Khrisat, MD
  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • Why health care leaders fail at execution—and how to fix it

      Dave Cummings, RN | Policy
    • How digital tools are reshaping the doctor-patient relationship

      Vineet Vishwanath | Tech
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • The hidden health risks in the One Big Beautiful Bill Act

      Trevor Lyford, MPH | Policy
  • Recent Posts

    • Facing terminal cancer as a doctor and mother

      Kelly Curtin-Hallinan, DO | Conditions
    • Online eye exams spark legal battle over health care access

      Joshua Windham, JD and Daryl James | Policy
    • FDA delays could end vital treatment for rare disease patients

      G. van Londen, MD | Meds
    • Pharmacists are key to expanding Medicaid access to digital therapeutics

      Amanda Matter | Meds
    • Why ADHD in women requires a new approach [PODCAST]

      The Podcast by KevinMD | Podcast
    • AI is already replacing doctors—just not how you think

      Bhargav Raman, MD, MBA | Tech

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 3 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • Why health care leaders fail at execution—and how to fix it

      Dave Cummings, RN | Policy
    • How digital tools are reshaping the doctor-patient relationship

      Vineet Vishwanath | Tech
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • The hidden health risks in the One Big Beautiful Bill Act

      Trevor Lyford, MPH | Policy
  • Recent Posts

    • Facing terminal cancer as a doctor and mother

      Kelly Curtin-Hallinan, DO | Conditions
    • Online eye exams spark legal battle over health care access

      Joshua Windham, JD and Daryl James | Policy
    • FDA delays could end vital treatment for rare disease patients

      G. van Londen, MD | Meds
    • Pharmacists are key to expanding Medicaid access to digital therapeutics

      Amanda Matter | Meds
    • Why ADHD in women requires a new approach [PODCAST]

      The Podcast by KevinMD | Podcast
    • AI is already replacing doctors—just not how you think

      Bhargav Raman, MD, MBA | Tech

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Why aren’t more pediatricians leaning into rural health?
3 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...